0001209191-21-061493.txt : 20211025 0001209191-21-061493.hdr.sgml : 20211025 20211025162023 ACCESSION NUMBER: 0001209191-21-061493 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211021 FILED AS OF DATE: 20211025 DATE AS OF CHANGE: 20211025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JORDAN JOSEPH HUGH CENTRAL INDEX KEY: 0001804695 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 211344416 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DR CITY: ANN ARBOR STATE: MI ZIP: 48105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOMINOS PIZZA INC CENTRAL INDEX KEY: 0001286681 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] IRS NUMBER: 382511577 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 BUSINESS PHONE: (734) 930-3030 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-21 0 0001286681 DOMINOS PIZZA INC DPZ 0001804695 JORDAN JOSEPH HUGH DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 0 1 0 0 EVP, International Common Stock, $0.01 par value 2021-10-21 4 M 0 2010 73.04 A 4861.268 D Common Stock, $0.01 par value 2021-10-21 4 S 0 2010 467.163 D 2851.268 D Common Stock, $0.01 par value 245.374 I 401(k) Savings Plan Option to Purchase Common Stock 73.04 2021-10-21 4 M 0 2010 0.00 D 2018-07-16 2024-07-16 Common Stock, $0.01 par value 2010 0 D This transaction was executed in multiple trades at prices ranging from $467.00 to $467.31. The price reported above reflects the weighted average sale price. /s/ Kevin S. Morris, attorney-in-fact 2021-10-25